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Schedules 1-5 Of Controlled Drugs


A General Description Of The 5 Classes Of Prescription Drugs
  
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Schedule 1
 

highly abusive, no medicinal use in the US
ex: heroin, hallucinogenic subsaces, marijuana, opiates
Schedule 2
 
high abuse potention, accepted medical uses, not refillable, refills require a new original prescription
Paratial Filling for Schedule 2 Drugs
 

Record units dispensed, dispense the remainder within 72 hrs., tellthe physician if the remainder can't be dispensed, prescription is valid for 60 days for LTFC/terminally ill/hospice patients
Pharmacist must record the date, amount dispensed and remaining, and sign the back.
Emergency situations for dispensing schedule 2 drugs (prescriptions called in by phone)
 

only if:
immediate administration is required
there are not alternatives available
the physician can't provide a writtn prescription at the moment
a hard prescription must be provided within 72 hrs.
Theft of Schedule 2 drugs
 
must notify the DEA and State Board of Pharmacy
Schedule 3 drugs
 

less potential for abuse, prescription can be refilled 5 times within 6 months
Ex: tylenol with codeine, Vicodin, Fioricet Codeine hydrocordone with acetaminphen, acetaminophen with codeine
Examples of Schedule 2 drugs
 
cocaine, morphine, oxycodone, amphetamine salts, Demerol (Meperidine), Methylphenidate (Ritalin), Codeine, Percocet & Opiates, Dilaudid, MS Contin, Fentanyl (Durgesic)
Partial Filling of Schedule 3 Drugs
 

Pharmacist must record quantities dispensed and remainng, and initial/sign
must be within 6 months of the original prescription date
Schedule 4 drugs
 

less potential for abuse, same dispensing rules as schedule 3
ex: Benzodiazepines, Meprobamate, Propoxyphene
Schedule 5 drugs
 

low potential for abuse, can be sold OTC to 21 yrs and older, only sold by pharmacist
no more than 240 mL or 48 solid dosages of products containing opium
no more than 120 mL or 24 solid dosages of non-opium containing products
record contains name of patient, date, and pharm. initials
Examples of Schedule 5 drugs
 
Parapectolin (for diarrhea), pomethazine with codeine, guaifenesin with codeine (for cough)
Storage of Schedule 2 Drugs
 

physical inventory done yearly within 4 days of anniversary
distribution records for in-patient settings
Rocords of receipt and disposition must be kept separate
Ordering Schedule 2 Drugs
 

must use DEA form 222
only pharmcist can sign the form from the wholesaler
tranportation and payment records not required

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